Archives de Pédiatrie 2003-03-01

[Severe acute White-Spirit poisoning with pulmonary hypertension].

S Dauger, E Gondon, S Aizenfisz, V Belin, B Auburtin, F Beaufils

Index: Arch. Pediatr. 10(3) , 221-3, (2003)

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Abstract

The Authors report a case of acute White-Spirit poisoning with pulmonary hypertension associated to respiratory distress syndrome.A 14-month-old infant drank an unknown quantity of White-Spirit while his parents were painting. After he spontaneously vomited, he presented a seizure at the emergency department. After a 36 h stay in Pediatric Intensive Care Unit (PICU), acute lung injury required mechanical ventilation and vasoactive support. Cardiac ultrasounds showed pulmonary hypertension, which rapidly resolved with inhaled nitric oxide. The child was discharged of PICU after five days. Respiratory follow-up two months after poisoning was normal.Pulmonary hypertension should be checked for in case of White-Spirit ingestion complicated with severe acute lung injury.